Upper Peninsula Managed Care, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

4704253641 Issued in MI

Legal business name

UPPER PENINSULA MANAGED CARE, LLC

Doing business as

UP Health Group

Practice address

228 W Washington St
Marquette, MI 49855-4330

Phone

(906) 225-7500

NPI assigned

Dec 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dennis Smith

Title

President & Ceo

Phone

(906) 225-7500

Specialties & licenses 6

Addresses

Other names 1

• UP Health Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheryl Doreen Waudby, R.PH.

  • Pharmacist
  • Marquette, MI
  • NPI 1912079898
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1104195601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554330",
            "telephone_number": "906-225-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554330",
            "telephone_number": "906-225-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER PENINSULA MANAGED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "906-225-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "4704253641",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "4704191191",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "4704112142",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "4704192981",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "4704122245",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "4704114122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UP Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upper Michigan Oral & Maxillofacial Surgery PC
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• Upper Peninsula Association of Rural Health Services, Inc.
• Upper Peninsula Health Care Solutions, Inc.
• Upper Peninsula Rehabilitation Medicine Associates P.C.
• Upper Peninsula Sports Medicine & Therapy Center
• Upper Peninsuls Sports Medicine & Therapy Center
• Nancy Uschold, P.T.
• Tabitha Utych

• Case Management Agency in Marquette, MI
• Providers in Marquette, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.